Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hilda Rosabell Balcom death at Halifax, Halifax County on June 17, 1970
Female Death Registration: Year: 1970 number: 4104
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004104
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Balcom, Hilda Rosabell
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 14, 1903
10. AGE in Years66 Months9 Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked Mar. 25, 1970 14. Total years 35
15. If married name of spouse Douglas Balcom
16. NAME of Father George Thorne
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother .
19. BIRTHPLACE
20. Signature of Informant Douglas Balcom
address 45 Andover St. Dartmouth
Relationship to deceased Husband
21. Place of burial Port Dufferin
Date of burial June 19, 1970
22. Undertaker Rowlings Funeral Service Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1970
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Carsenoma of breast with metastasis
(c) Carcinomatosis
other
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